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Percutaneous pinning for treating distal radial fractures in adults

  1. Helen HG Handoll1,*,
  2. Manesh V Vaghela2,
  3. Rajan Madhok3

Editorial Group: Cochrane Bone, Joint and Muscle Trauma Group

Published Online: 18 JUL 2007

Assessed as up-to-date: 15 MAY 2007

DOI: 10.1002/14651858.CD006080.pub2


How to Cite

Handoll HHG, Vaghela MV, Madhok R. Percutaneous pinning for treating distal radial fractures in adults. Cochrane Database of Systematic Reviews 2007, Issue 3. Art. No.: CD006080. DOI: 10.1002/14651858.CD006080.pub2.

Author Information

  1. 1

    University of Teesside, Centre for Rehabilitation Sciences (CRS), Research Institute for Health Sciences and Social Care, Middlesborough, Tees Valley, UK

  2. 2

    University Hospital of Hartlepool, Department of Orthopaedics and Trauma, Hartlepool, UK

  3. 3

    University of Manchester, Cochrane Bone, Joint and Muscle Trauma Group, Manchester, UK

*Helen HG Handoll, Centre for Rehabilitation Sciences (CRS), Research Institute for Health Sciences and Social Care, University of Teesside, School of Health and Social Care, Middlesborough, Tees Valley, TS1 3BA, UK. h.handoll@tees.ac.uk. H.Handoll@ed.ac.uk.

Publication History

  1. Publication Status: Edited (no change to conclusions)
  2. Published Online: 18 JUL 2007

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References

References to studies included in this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
Allain 1999 {published data only}
  • Allain J, Le Guilloux P, Le Mouel S, Goutallier D. Trans-styloid fixation of fractures of the distal radius. A prospective randomized comparison between 6- and 1-week postoperative immobilization in 60 fractures. Acta Orthopaedica Scandinavica 1999;70(2):119-23.
Azzopardi 2005 {published and unpublished data}
  • Azzopardi T. personal communication May 24 2006.
  • Azzopardi T, Ehrendorfer S, Coulton T, Abela M. Unstable extra-articular fractures of the distal radius: A prospective, randomised study of immobilisation in a cast versus supplementary percutaneous pinning. Journal of Bone and Joint Surgery - British Volume 2005;87(6):837-40.
  • Ehrendorfer S. Management of distal radius fracture. In: The National Research Register, Issue 2, 2000. Oxford: Update Software.
Casteleyn 1992 {published data only}
  • Casteleyn PP, Handelberg F, Haentjens P. Biodegradable rod fixation of wrist fractures [Abstract]. Orthopaedic Transactions 1993;17(4):1036.
  • Casteleyn PP, Handelberg F, Haentjens P. Biodegradable rods versus Kirschner wire fixation of wrist fractures. A randomised trial. Journal of Bone and Joint Surgery - British Volume 1992;74(6):858-61.
  • Casteleyn PP, Handelberg F, Haentjens P, Opdecam P. Biodegradable rod fixation of wrist fractures [Abstract]. Journal of Bone and Joint Surgery - British Volume 1993;75 Suppl 2:196.
Fikry 1998 {published data only}
  • Fikry T, Fadili M, Harfoui A, Dkhissi M, Zryouil B. Metaphysis fracture of the distal radius: Kapandji's or Py's pinning? [Fractures metaphysaires du radius distal: embrochage de Kapandji ou de Py?]. Annales de Chirurgie de la Main et du Membre Superieur 1998;17(1):31-40. [MEDLINE: 20396977]
Gupta 1999 {published and unpublished data}
  • Gupta R. personal communication April 4 2006.
  • Gupta R, Raheja A, Modi U. Colles' fracture: management by percutaneous crossed-pin fixation versus plaster of Paris cast immobilization. Orthopedics 1999;22(7):680-2.
Korner 1999 {published data only}
  • Korner J, Verheyden P, Nocker C, Josten C. The use of biodegradable pins in the operative treatment of distal radial fractures [Abstract]. Final program of the 21st Triennial World Congress SICOT 99; 1999 Apr 18; Sydney. Sydney: SICOT, 1999; Vol. Final Program:239.
Lenoble 1995 {published data only}
  • Lenoble E, Dumontier C, Goutallier D, Apoil A. Fracture of the distal radius. A prospective comparison between trans-styloid and Kapandji fixations. Journal of Bone and Joint Surgery - British Volume 1995;77(4):562-7.
Milliez 1992 {published data only}
  • Milliez PY, Dallaserra M, Defives T, el Ayoubi L, Thomine JM. Effect of early mobilization following Kapandji's method of intrafocal wiring in fractures of the distal end of the radius. Results of a prospective study of 60 cases [Influence de la mobilisation precoce apres embrochage intra-focal selon Kapandji dans les fractures de l'extremite inferieure du radius. Resultats d'une etude prospective sur 60 cas.]. International Orthopaedics 1992;16(1):39-43.
Rodriguez-Merchan 97 {published data only}
  • Rodriguez-Merchan EC. Plaster cast versus percutaneous pin fixation for comminuted fractures of the distal radius in patients between 46 and 65 years of age. Journal of Orthopaedic Trauma 1997;11(3):212-7.
Shankar 1992 {published data only}
  • Shankar NS, Craxford AD. Comminuted Colles' fractures: a prospective trial of management. Journal of the Royal College of Surgeons of Edinburgh 1992;37(3):199-202.
Stoffelen 1998 {published data only}
  • Stoffelen DV, Broos PL. Closed reduction versus Kapandji-pinning for extra-articular distal radial fractures. Journal of Hand Surgery - British Volume 1999;24(1):89-91.
  • Stoffelen DV, Broos PL. Kapandji pinning or closed reduction for extra-articular distal radius fractures. Journal of Trauma 1998;45(4):753-7.
  • Stoffelen DVC, Broos PL. Conservative treatment versus Kapandji-pinning for extra-articular distal radius fractures. Osteosynthese International 1999;7 Suppl 1:87-93.
Strohm 2004 {published data only}
  • Strohm PC, Muller CA, Boll T, Pfister U. Two procedures for Kirschner wire osteosynthesis of distal radial fractures: a randomized trial. Journal of Bone and Joint Surgery - American Volume 2004;86(12):2621-8.
Verhulst 1990 {published data only}
  • Verhulst D, Pimontel P, Puylaert D, Gijs T, Bogehams J. Single Kirschner wire fixation of Colles' fractures [Abstract]. Orthopaedic Transactions 1990;14(3):654.

References to studies excluded from this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
Biedermann 2001 {published and unpublished data}
  • Biedermann M. personal communication July 25 2002.
  • Biedermann M, Gerber BE. Minimal invasive stabilisation of distal radius fractures with an 1 K-wire technique [Abstract]. Journal of Bone and Joint Surgery - British Volume 2001;83 Suppl 2:258.
Delattre 1994 {published data only}
  • Delattre O, Saillant G, Lemoine J, Benazet JP, Roy-Camille R. Reduction and osteosynthesis with pin fixation of wrist fractures. A comparative study between Kapandji's and Py's techniques [Reduction et synthese par brochage des fractures du poignet. Etude comparative entre la technique de Kapandji et la technique de Py]. Revue de Chirurgie Orthopedique et Reparatrice de l'Appareil Moteur 1994;80(2):94-107.
  • Delattre O, Saillant G, Lemoine J, Benazet JP, Roy-Camille R. Reduction and pin fixation for fractures of the distal radius: A comparative study between the Kapandji and Py techniques [Abstract]. Orthopaedic Transactions 1996;20(2):492.
  • Delattre O, Saillant G, Lemoine J, Benazet JP, Roy-Camille R. Reduction and pinning of wrist fractures: Comparative study of the Kapandji and Py techniques [Abstract]. Revue de Chirurgie Orthopedique et Reparatrice de l'Appareil Moteur 1996;82(7):672.
Galli 2002 {published data only}
  • Galli S, De Filippo G, Bonaspetti G, Zarattini G, Pazzaglia UE. Long arm cast versus percutaneous pinning in the treatment of distal radial fractures [Abstract]. Journal of Hand Surgery - British Volume 2002;27 Suppl 1:6-7.
Harper 2000 {published and unpublished data}
  • Harper WM. personal communication October 2001.
  • Harper WM. A randomised prospective trial comparing MUA and POP with K wire fixation in Colles fractures. In: The National Research Register, Issue 2, 2000. Oxford: Update Software.
Seifert 1998 {published data only}
  • Seifert J, Muller C, Schauwecker HH. Studying minimally invasive osteosynthesis methods for distal radius fractures. Intra-focal vs. conventional wire osteosynthesis [Untersuchungen zu minimalinvasiven Osteosyntheseverfahren bei distalen Radiusfrakturen. Intrafokale versus konventionelle Bohrdrahtosteosynthese.]. Unfallchirurgie 1998;24(1):18-24.

References to studies awaiting assessment

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
Gravier 2005 {published data only}
  • Argenson JN. personal communication July 4 2006.
  • Gravier R, Flecher X, Parratte S, Rapaie P, Argenson JN. Trans-styloid and intrafocal pinning of Pouteau-Colles fractures: advantage in terms of postoperative stability compared with simple intrafocal pinning [abstract]. Journal of Bone and Joint Surgery - British Volume 2005;87 Suppl 2:130.
Hargreaves 2004 {published and unpublished data}
  • Hargreaves D. personal communication March 20 2006.
  • Hargreaves DG, Drew SJ, Eckersley R. Kirchner wire pin tract infection rates: A randomized controlled trial between percutaneous and buried wires. Journal of Hand Surgery - British Volume 2004;29(4):374-6.
Russe 2000 {published and unpublished data}
  • David A. personal communication August 16 2006.
  • David A, Muller D, Eitenmuller J, Muhr G. One-year results of the osteosythesis of distal radius fractures with resorbable pins [Abstract] [Einjahresergebnisse der osteosynthese distaler radiusfrakturen mit resorbierbaren stiften]. Hefte zur Zeitschrift der Unfallchirurg 1998;265:203-6.
  • Muller D, David A, Pommer A, Muhr G. Osteosynthesis of typical radius fracture with new resorbable polyactide pins [Abstract] [Osteosynthese der radiusfraktur loco typico mit neuen resorbierbaren polyactidstiften]. Hefte zur Zeitschrift der Unfallchirurg 1997;268:567-8.
  • Russe K, Heyde VDD, David A. The osteosynthetic management of distal lower arm fractures - Comparison of bioresorbable material and Kirschner wire [Abstract] [Die osteosynthetische versorgung der distalen unterarmfrakturen - Vergleich von bioresorbierbarem material und Kirschner draht]. Hefte zur Zeitschrift der Unfallchirurg 2000;275:305-6.
  • Russe K, Pommer A, Heyde VDD, David A. The bioresorbable osteosynthesis of distal radius fractures [Abstract] [Die bioresorbierbare osteosynthese der distalen radiusfraktur]. Hefte zur Zeitschrift der Unfallchirurg 2000;282:122-3.
Shannon 2003 {published data only}
  • Shannon FJ, Thornes B, Awan N, Burke T. Fractures of the distal radius treated with 'spring loaded' wiring technique. A randomised prospective study [Abstract]. Journal of Bone and Joint Surgery - British Volume 2003;85 Suppl 2:137.
Snow 2006 {unpublished data only}
  • Fahmy N. Function vs position of the wrist following distal radial fracture. In: The National Research Register, Issue 3, 2000. Oxford: Update Software.
  • Johnson D. personal communication October 2 2006.
  • Snow M, Kelly M, Jeyam M, Fahmy N. Function versus position: A randomised controlled trial of interfocal Kirschner wiring of unstable distal radial fractures. European Journal of Trauma in press.
Waheed 2004 {published data only}
  • Waheed K, Mulhall K, Mwaura B, Kaar K. Percutaneous wire fixation of distal radial fractures: is it preferable to bury the wires? [Abstract]. Journal of Bone and Joint Surgery - British Volume 2004;86 Suppl 2:125-6.

Additional references

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
Altissimi 1986
  • Altissimi M, Antenucci R, Fiacca C, Mancini GB. Long-term results of conservative treatment of fractures of the distal radius. Clinical Orthopaedics and Related Research 1986;(206):202-10.
Altman 2003
Amadio 2001
  • Amadio PC. Outcome assessment in hand surgery: an update. Journal of Hand Therapy 2001;14(2):63-7.
Andersen 1996
  • Andersen DJ, Blair WF, Steyers CM Jr, Adams BD, el-Khouri-GY, Brandser-EA. Classification of distal radius fractures: an analysis of interobserver reliability and intraobserver reproducibility. Journal of Hand Surgery - American Volume 1996;21(4):574-82.
Atkins 1989
Belsole 1993
BMJ 2006
  • A guide to the text. Clinical Evidence Online http://www.clinicalevidence.com/ceweb/about/guide.jsp (accessed 24 March 2006).
Chitnavis 1999
  • Chitnavis J. The wrist. In: Pynsent PB, Fairbank JCT, Carr AJ editor(s). Classification of musculoskeletal trauma. Oxford: Butterworth Heinemann, 1999:146-70.
Cooney 1980
Cooney 1993
Cummings 1985
Fernandez 1996
  • Fernandez DL, Jupiter JB. Fractures of the distal radius. A practical approach to management. 1st Edition. New York: Springer-Verlag, 1996.
Fernandez 1999
  • Fernandez DL, Palmer AK. Fractures of the distal radius. In: Green DP, Hotchkiss RN, Pederson WC editor(s). Green's Operative Hand Surgery. 4th Edition. New York: Churchill Livingstone, 1999:929-85.
Flinkkila 1998
  • Flinkkila T, Raatikainen T, Hamalainen M. AO and Frykman's classifications of Colles' fracture. No prognostic value in 652 patients evaluated after 5 years. Acta Orthopaedica Scandinavica 1998;69(1):77-81.
Frykman 1967
  • Frykman G. Fractures of the distal radius including sequelae - shoulder-hand-finger syndrome, disturbance in the distal radio-ulnar joint and impairment of nerve function. A clinical and experimental study. Acta Orthopaedica Scandinavica Supplementum 1967;108:3-153.
Gartland 1951
  • Gartland JJ, Werley CW. Evaluation of healed Colles' fractures. Journal of Bone and Joint Surgery - American Volume 1951;33(4):895-910.
Handoll 2003a
  • Handoll HHG, Madhok R. Surgical interventions for treating distal radial fractures in adults (Cochrane review). Cochrane Database of Systematic Reviews 2003, Issue 3.
Handoll 2003b
  • Handoll HHG, Madhok R. Conservative interventions for treating distal radial fractures in adults (Cochrane Review). Cochrane Database of Systematic Reviews 2003, Issue 2. [Art. No.: CD000314. DOI: 10.1002/14651858.CD000314]
Handoll 2003c
  • Handoll HHG, Madhok R. Closed reduction methods for treating distal radial fractures in adults (Cochrane Review). Cochrane Database of Systematic Reviews 2003, Issue 1. [Art. No.: CD003763. DOI: 10.1002/14651858.CD003763]
Handoll 2003d
  • Handoll HHG, Madhok R. From evidence to best practice in the management of fractures of the distal radius in adults: working towards a research agenda. BMC Musculoskeletal Disorders 2003;4(27).
Higgins 2003
Higgins 2005
  • Higgins JPT, Green S, editors. Highly sensitive search strategies for identifying reports of randomized controlled trials in MEDLINE. Cochrane Handbook for Systematic Reviews of Interventions 4.2.5 [updated May 2005]; Appendix 5b. In: The Cochrane Library, Issue 3, 2005. Chichester, UK: John Wiley & Sons, Ltd.
Jakim 1991
  • Jakim I, Pieterse HS, Sweet MB. External fixation for intra-articular fractures of the distal radius. Journal of Bone and Joint Surgery - British Volume 1991;73(2):302-6.
Jupiter 1997
Kapandji 1988
  • Kapandji IA, Epinette J-A. Colles' fracture: treatment by double intrafocal wire fixation. In: Razemon JP, Fisk GR editor(s). The wrist. Edinburgh: Churchill Livingstone, 1988:65-73.
Knirk 1986
  • Knirk JL, Jupiter JB. Intra-articular fractures of the distal end of the radius in young adults. Journal of Bone and Joint Surgery - American Volume 1986;68(5):647-59.
Kreder 1996a
  • Kreder HJ, Hanel DP, McKee M, Jupiter J, McGillivary G, Swiontkowski MF. X-ray film measurements for healed distal radius fractures [published erratum appears in J Hand Surg [Am] 1996 May;21(3):532]. Journal of Hand Surgery - American Volume 1996;21(1):31-9.
Kreder 1996b
  • Kreder HJ, Hanel DP, McKee M, Jupiter J, McGillivary G, Swiontkowski MF. Consistency of AO fracture classification for the distal radius. Journal of Bone and Joint Surgery. British Volume 1996;78(5):726-31.
MacDermid 2000
  • MacDermid JC, Richards RS, Donner A, Bellamy N, Roth JH. Responsiveness of the Short Form-36, Disability of the Arm, Shoulder and Hand questionnaire, Patient Rated Wrist Evaluation, and physical impairment measurements in evaluating recovery after a distal radius fracture. Journal of Hand Surgery - American Volume 2000;25(2):330-40.
MacKenney 2006
Muller 1991
  • Muller M, Allgower M, Schneider R, Willenegger H. Manual of internal fixation: techniques recommended by the AO-ASIF Group. 3rd Edition. Berlin: Springer-Verlag, 1991.
O'Neill 2001
Rayhack 1993
Sahlin 1990
Singer 1998
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Smith 1988
  • Smith RJ, Floyd WE. Smith's and Barton's fractures. In: Barton N editor(s). Fractures of the hand and wrist. Edinburgh: Churchill Livingstone, 1988:252-66.
Taleisnik 1984
Temple 2004
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